Individual
CAITLIN ANNE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Mailing address
2100 PFINGSTEN RD, GLENVIEW, IL 60026-1301
(847) 657-5632
(847) 657-5993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004830
STATE LICENSE
IL
Enumeration date
09/30/2013
Last updated
08/31/2022
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